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Chirurgia 2008 April;21(2):93-5

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Sarcoidosis in thymic lymph nodes during mitral valve repair

Bonde P. 1, Nwaejike N. 2, Campalani G. 3

1 Johns Hopkins Cardiac Surgery, Baltimore, MD, USA 2 Department of Vascular and Endovascular Surgery Barts and the London NHS Trust Whitechapel, London, UK 3 Department of Cardiac Surgery, Royal Hospitals, Belfast, UK


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Enlargement of thymic lymph nodes may occur due to a benign or a malignant pathology. A high index of suspicion due to prior parathyroidectomy proved prudent to biopsy enlarged lymph nodes during mitral valve repair which turned out to be due to sarcoidosis. Cardiac surgeons need to be aware of the diseased thymic lymph nodes and a proper histological investigation to ascertain the etiology should be sought, which may have impact on the patient management.

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